plete more cases per
day."
What to look for in
a closure device? For
starters, it should dis-
tribute the tension
evenly over a wide
area of the skin to
prevent or limit scar-
ring, says Dr. Vagley.
You also want vari-
able tension to reap-
proximate the wound
edges if need be.
"I come from the
school where I want
my wounds to be
semi-permeable,
instead of watertight,"
says Dr. Shah. "I like
wound edges to
breathe, so if swelling
develops, there's a
pressure relief valve
around the edge
where oozing can hap-
pen and it's OK."
OSM
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